To effectively correct age-related changes, a doctor needs to have a large arsenal of drugs, working with which, he will be able to personalize the approach to working with the patient as much as possible. All people have different types of face and different skin, so the choice of correction technique and preparation should always be selected individually.
Juan Sopano, candidate of medical sciences, leading trainer of Galderma, speaker of IMCAS, spoke about the advantages of a personalized approach, as well as about the features of correction of the lower and middle third of the face for estet-portal.com.
What principles do you follow in aesthetic correction?
Х.С.: I believe that when carrying out aesthetic correction, the emphasis should be placed, first of all, on obtaining a beautiful aesthetic result, and not just on reducing the signs of aging. Today, patients want to look younger, forgetting that it is more important to look natural. We must strive to create a new and improved version of ourselves.
Why in your practice did you prefer fillers Restylane?
Х.С.: The first reason for this choice of – is the safety of the products. Aesthetic medicine patients – these are healthy patients and we have no right to expose them to the slightest danger. Therefore, I choose products that have been on the market for more than 20 years, because of the accumulated experience in their use and the evidence base for the safety of using these products. The second reason – it's efficiency.
Restylane products really work and show very good and long lasting results. And the third reason – this is what the Restylane range of products (from Innovaesthetic) gives us the opportunity to personalize treatment as much as possible.
We have a large number of patients with different skin types, different face types, and they all need different drugs.
We need a range of products that will allow us to personalize the treatment and achieve a natural result.
What is a personalized correction approach?
H.S.: For many years we have been forced to use the same products for all of our patients. Galderma today manufactures fillers using the two technologies NASHA and OBT, thanks to which we have a wide range of Restylane with different physical properties. Such an assortment in the line of drugs allows you to choose exactly the product that is ideal for the correction of each patient.
A personalized approach implies the following concept: depending on which patient comes to you, with thick or thin skin, the patient needs a lifting, projection or volume, we have the opportunity to choose a drug that performs these functions.
When correcting – what areas of the face do you pay attention to?
Х.С.: Middle third of face – a very important area of aesthetic correction that requires a personalized approach. This is due to the fact that patients have completely different indications for the correction of this zone. Some need lifting, some need projection, others lack volume. To solve these problems in the Restylane line, there are three products Restylane Lyft, Restylane Defyne, Restylane Volyme, which exactly solve the necessary problem in case of each indication.
Read also: Dangerous zones on the face: important information for dermatologists
X.S.:
The difference between the lower and middle thirds of the face is that in the lower part of the face we have to work with the consequences, and in the middle third with the cause of these consequences. Any changes in the lower third of the face are due to ptosis of the middle part of the face, so, again, it must be remembered that this particular part of the face is the priority of the correction.
Let's imagine we have a patient with pneumonia. To treat it, we have to use antibiotics to clear the infection in the lungs, but we also need oxygen to help the patient breathe. So, antibiotics in this case – this is a therapy for the middle third of the face, and oxygen – bottom. This is a combination therapy: treatment of the cause of certain changes, and after – correction of consequences.What areas of the face do you consider dangerous for working with fillers?
Х.С.:
There are no dangerous zones on the face if the doctor who performs the correction knows the anatomy well. But seriously, you need to be careful when correcting the medial part of the face and the perioral region in the areas of projection of the facial artery and its branches. A doctor with good anatomical knowledge and a quality preparation – pledge of safe correction. What is your favorite procedure?
That's a tough question! My favorite procedure – this is what the patient needs. This may be work with botulinum toxin if the patient needs to eliminate expression lines. Or the use of fillers based on hyaluronic acid – if the patient needs lifting, contouring or volume replenishment. It can also be a peeling and a booster, in cases where it is necessary to improve the quality and relief of the patient's skin. Therefore, when asked about the best method of correction, I will answer that there is none, and the best method – this is the one that is selected especially for you. Recall that Restylane products in Ukraine are represented by the company
Innovaesthetic. Read also:
The third point of facial harmony: the aesthetic value of chin shape correction
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